JESSICA LEE FORTHMAN (NPI# 1760997498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760997498 |
| Entity Type | Individual |
| Full Name | JESSICA LEE FORTHMAN |
| Practice Address |
1306 Military Rd Ste 1 Benton AR 72015-2732 |
| Mailing Address |
313 Helms Rd Arkadelphia AR 71923-8000 |
| Practice Telephone | 5014818930 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
| Street Address |
1306 MILITARY RD STE 1 |
| City | BENTON |
| State | AR |
| Zip Code | 72015-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003341900 | Taralee Reeves | Occupational Therapist | 1306 Military Rd Ste 1, Benton, AR 72015-2732 | 2017-04-28 |
| 1922508613 | Elizabeth Clark | Physical Therapist | 1306 Military Rd Ste 1, Benton, AR 72015-2732 | 2018-02-19 |
| 1568986248 | Arkansas Therapy Outreach, LLC | Clinic/Center | 1306 Military Rd Ste 1, Benton, AR 72015-2732 | 2017-08-03 |
| 1255868774 | Stacie Michelle Cornwell | Developmental Therapist | 1306 Military Rd Ste 1, Benton, AR 72015-2732 | 2017-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679947147 | Melnika J Hale | Specialist/Technologist | 2296 Pleasant Forest Dr, Benton, AR 72015-4992 | 2015-11-21 |
| 1902346398 | Nicole Rose | Specialist/Technologist | 207 W Conway St, Benton, AR 72015-3727 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1205475639 | Kayla Marie Riddle | Specialist/Technologist | 2700 N Prickett Rd Ste 2b, Bryant, AR 72022-7511 | 2020-01-02 |
| 1417590993 | Skylar Baker | Specialist/Technologist | 212 Scoby Dr, Warren, AR 71671-2050 | 2019-10-28 |
| 1669025045 | Alexis Davis | Specialist/Technologist | 185 Cornerstone Blvd, Hot Springs, AR 71913-6500 | 2019-07-24 |
| 1730646753 | Abigail Kathryn Arterbury | Specialist/Technologist | 3010 Highway 22 E Ste A, Branch, AR 72928-9648 | 2019-02-26 |
| 1568939700 | Rachel Ann Clayton | Specialist/Technologist | 735 Robin St, Camden, AR 71701-6834 | 2018-10-25 |
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1336636000 | Ashley Napurano | Specialist/Technologist | 9505 Chad Colley Blvd Apt 3407, Fort Smith, AR 72916-5821 | 2018-04-18 |
| 1285146142 | Shelby Michelle Petersen | Specialist/Technologist | 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 | 2017-11-01 |
| 1578087763 | Shane Worthington | Specialist/Technologist | 712 Calvin Avery Dr Ste C, West Memphis, AR 72301-6515 | 2017-07-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.